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产前和产后项目是否能降低婴儿死亡率?基于人口与健康调查数据的 24 个发展中国家的荟萃分析综述。

Does antenatal and post-natal program reduce infant mortality? A meta-analytical review on 24 developing countries based on Demographic and Health Survey data.

机构信息

Statistics Discipline, Khulna University, Khulna 9208, Bangladesh.

出版信息

Sex Reprod Healthc. 2021 Jun;28:100616. doi: 10.1016/j.srhc.2021.100616. Epub 2021 Mar 23.

DOI:10.1016/j.srhc.2021.100616
PMID:33799165
Abstract

OBJECTIVE

This study intended to reveal the effectiveness of Antenatal Care (ANC) and Postnatal care (PNC) services on infant mortality in 24 developing countries by utilizing the recent Demographic and Health Survey (DHS) data.

DESIGN

This study utilized the most recent DHS data from 2013 to 2019 of 24 different developing countries. Meta-analysis techniques were was implemented to congregate cross-sectional studies to integrate data from 24 countries to fulfill the study's objective. ParticipantsChildren's Recode (KR) data was used as this study is based on infants aged 0-11 months.

RESULTS

Results of this study uncovered for 24 developing countries that taking ANC and PNC had a statistically significant association in lowering infant death. These two covariates were found to significantly impact all 24 developing countries' infant mortality (OR: 0.356, 95% CI: 0.311; 0.407 for taking ANC and OR: 0.302, 95% CI: 0.243; 0.375 for taking PNC). Additionally, taking ANC was more effective in Asian countries, while taking PNC was more effective for African countries.

CONCLUSION

In this study, taking ANC and PNC services was significant in reducing the risk of infant mortality in developing countries. So, anticipation and advancement in health care services ought to be taken to lessen the chance of infant mortality.

摘要

目的

本研究旨在利用最新的人口与健康调查(DHS)数据,揭示产前保健(ANC)和产后保健(PNC)服务对 24 个发展中国家婴儿死亡率的影响。

设计

本研究利用了 24 个不同发展中国家 2013 年至 2019 年的最新 DHS 数据。采用荟萃分析技术,汇集了横断面研究,整合了 24 个国家的数据,以实现研究目标。

参与者

本研究使用了儿童重新编码(KR)数据,因为本研究基于 0-11 个月大的婴儿。

结果

本研究结果表明,在 24 个发展中国家,接受 ANC 和 PNC 与降低婴儿死亡有统计学上的显著关联。这两个协变量被发现显著影响所有 24 个发展中国家的婴儿死亡率(ANC:OR=0.356,95%CI:0.311;0.407;PNC:OR=0.302,95%CI:0.243;0.375)。此外,ANC 在亚洲国家更有效,而 PNC 在非洲国家更有效。

结论

本研究表明,在发展中国家,接受 ANC 和 PNC 服务可显著降低婴儿死亡率的风险。因此,应预期并推进医疗保健服务,以降低婴儿死亡率。

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